About six months after an automobile accident in which her neck was severely lacerated, a young woman comes to the clinic for a routine checkup. Visual examination shows a slight swelling beneath the larynx. Upon questioning, the woman reports that she fatigues easily, has been gaining weight, and her hair is falling out. What is your diagnosis?

She has the classic symptoms of hypothyroidism .

(Explanation:

She has the classic symptoms of hypothyroidism probably due to neck trauma) and she appears to be exhibiting an autoimmune reaction to formerly "hidden antigens" in the thyroid gland colloid.

The symptoms of thyroid problems often revealed in the hands and fingers. When someone sees these types of findings on his/her hands and also suffer fatigue, hair loss (especially a thinning of the lateral eyebrows), low libido, dry skin, and unexplainable weight gain, it will be advised that the person visits a doctor to have your thyroid evaluated.

answer: b. complete secondary assessment (detailed physical exam).

after you finished the primary assessment, you must proceed with the assessment by performing a complete detailed physical examination.

this secondary assessment includes a focused on patient’s history, vital signs and a specific and rapid examination of the entire body especially on the injuries acquired from the motor vehicle accident and the patient’s medical complaint.